Provider Demographics
NPI:1932814753
Name:CENTER FOR EMOTIONAL SUCCESS, PLLC
Entity type:Organization
Organization Name:CENTER FOR EMOTIONAL SUCCESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LANEISHA
Authorized Official - Middle Name:J
Authorized Official - Last Name:GLASS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC, ACS
Authorized Official - Phone:248-895-8309
Mailing Address - Street 1:4301 ORCHARD LAKE RD STE 180-151
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323-1604
Mailing Address - Country:US
Mailing Address - Phone:248-895-8309
Mailing Address - Fax:313-385-5424
Practice Address - Street 1:4301 ORCHARD LAKE RD STE 180-151
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48323-1604
Practice Address - Country:US
Practice Address - Phone:248-895-8309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-16
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty